Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VILLAGE SHALOM INC

OVERLAND PARK, KS · 66 certified beds · Last Life Safety survey June 4, 2025

CMS Certification Number 175441 · first certified October 2000

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

35
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
11
Tags cited more than once
Across separate surveys
17
Inspection & testing records
Of the citations on file

Position within KS

35 citations — more than 76% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was June 2025. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 35 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 35 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility35KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility35
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
92022-02142023-10122025-06
Citations at each Life Safety survey
Survey dateCitations
February 7, 20229
October 19, 202314
June 4, 202512

Most-cited tags

Most-cited tags at this facility
K-02223K-07123K-03533K-02112K-09202K-02912K-03632K-03462
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.32025-06-04
K-0712Have simulated fire drills held at unexpected times.32025-06-04
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-06-04
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-06-04
K-0920Ensure proper usage of power strips and extension cords.22025-06-04
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-06-04
K-0363Install corridor and hallway doors that block smoke.22025-06-04
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.22025-06-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Egress Deficiencies 7
  • Emergency Preparedness Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Egress Deficiencies7
Emergency Preparedness Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Services Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 4, 2025 — 12 citations

Citations issued on June 4, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 13, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 13, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 13, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 13, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 13, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 13, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 13, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 13, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 13, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 13, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 13, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 13, 2025)

October 19, 2023 — 14 citations

Citations issued on October 19, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 15, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (December 15, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (December 15, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (December 15, 2023)
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.Deficient, Provider has date of correction (December 15, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 15, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (December 15, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 15, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 15, 2023)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (December 15, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 15, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 15, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 15, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 15, 2023)

February 7, 2022 — 9 citations

Citations issued on February 7, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 22, 2022)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 22, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 22, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 22, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 22, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 22, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 22, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 22, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 22, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.